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37 chapters · 1,713 sections in this title.
Mont. Code Ann. § 33-32-101 Purpose
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The legislature finds and declares that it is the purpose of this chapter to: (1) promote the delivery of quality health care in a cost-effective manner; (2) foster greater coordination between health care providers, third-party payors, and others who conduct utilization review a…
Mont. Code Ann. § 33-32-102 Definitions
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As used in this chapter, the following definitions apply: (1) "Adverse determination", except as provided in 33-32-402, means: (a) a determination by a health insurance issuer or its designated utilization review organization that, based on the provided information and after appl…
Mont. Code Ann. § 33-32-103 Utilization Review Plan
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An entity covered under the provisions of this chapter may not conduct a utilization review of health care services provided or to be provided to a patient covered under a contract or plan for health care services issued in this state unless that entity, at all times, maintains a…
Mont. Code Ann. § 33-32-104 Preemption By Federal Law
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If any provision of this chapter is preempted by federal law or regulations as applied to any specific health care service, then the provision of this chapter that is preempted by federal law or regulations does not apply to that health care service but only to the extent of the …